NPIMap

Organization Active NPI

Ban NH, LLC

Doing business as Betty Ann Nursing Center

  • Skilled Nursing Facility
  • Grove, OK
National Provider Identifier
1194022681
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BAN NH, LLC
Doing business as
Betty Ann Nursing Center
Practice address
1400 S Main St
Grove, OK 74344-5310
Phone
(918) 786-2275
Fax
(918) 786-9389
NPI assigned
Feb 17, 2011
Last updated
Jan 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chris Brogdon
Title
Manager
Phone
(770) 650-8793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1400 S Main St
Grove, OK 74344-5310

Mailing address

1400 S Main St
Grove, OK 74344-5310
Phone (918) 786-2275

Other identifiers 1

IdentifierTypeStateIssuer
200053270AMedicaidOK

Other names 1

  • Betty Ann Nursing Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110824000204 TX Part A Provider - Skilled Nursing Facility 6709056005 Practice locations: Grove, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194022681. Details of each certification follow.

Skilled nursing facility certification: CCN 375457

Legal name
BAN NH, LLC
Doing business as
BETTY ANN NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 7, 2004
Last certification
Oct 3, 2024
Beds
60
Ownership / control type
Individual
Organization structure
LLCProprietary
Incorporated
Mar 2, 2010 in GA
Enrollment address
1400 S Main St
Grove, OK 74344-5310
Nursing home name
BETTY ANN NURSING CENTER
Affiliated entity
MARSH POINTE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Betty Ann Nursing CenterCCN 375457 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jan 7, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6047.2 residents per day on average
Chain
Marsh Pointe Management6 facilities in the chain
Penalties (3 years)
1Fines totaling $44,429

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Connie Brogdon Individual 5% Or Greater Indirect Ownership Interest Jul 30, 2020 64.99%
Adp of the SNF Jul 30, 2020
Cheryl Nichols Individual Corporate OfficerDirector of Operations-Marsh Pointe Apr 6, 2016 100%
Adp of the SNF Apr 6, 2016
Oklahoma Operating LLC Organization, Atlanta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 30, 2020 65%
Adp of the SNF Jul 30, 2020
Oklahoma Financial LLC Organization, Eatontown, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 30, 2020 35%
Adp of the SNF Jul 30, 2020
Individual Adp of the SNF Jul 30, 2020
Indirect Ownership Interest Jul 30, 2020 0.01%
Organization, Portland, OR LLC, Consulting firm, For-profit Adp of the SNF Apr 11, 2025
Marsh Pointe Management LLC Organization, Atlanta, GA LLC, Management services company, For-profit, Chain home office Operational/Managerial Control Mar 1, 2024 100%
Adp of the SNF Mar 1, 2014
Christopher F Brogdon Individual Corporate OfficerManager Jul 29, 2011 100%
Operational/Managerial Control Jul 29, 2011
Managing Control - Governing BodyManager Jul 29, 2011
Adp of the SNF Jul 29, 2011
Richard H Tidwell Individual Operational/Managerial Control Jan 1, 2012
Adp of the SNF Jan 1, 2012
Lisa Slayton Individual Operational/Managerial Control Jul 29, 2011
Adp of the SNF Jul 29, 2011

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1194022681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S MAIN ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743445310",
            "telephone_number": "918-786-2275",
            "fax_number": "918-786-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S MAIN ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743445310",
            "telephone_number": "918-786-2275",
            "fax_number": "918-786-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAN NH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "BROGDON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-650-8793"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200053270A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Betty Ann Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Betty Ann Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove, OK

Sources for this page

Verify at the official NPI Registry.